This body horror pregnancy trans dysphoria story was... a lot, but it was also raw and real and quite good.

Crane is part of a local cult, run by a hive of sentient flies and worms, and when he gets pregnant the hive insists he carries the child to his utter distress and terror. It's visceral and disturbing--full of trauma and abuse, self-loathing and self-injury, and shitty choices in a shittier world.